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NANA MIMURA MD NPI 1568563625


NPI Information

NPI: 1568563625
Provider Name: NANA MIMURA, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3030 N ROCKY POINT DR W
STE 670
TAMPA, FL
ZIP 33607
Phone: (239) 597-0583
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Nana Mimura, MD is an internal medicine in Tampa, FL with 32 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Nana Mimura, MD NPI is 1568563625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3030 N ROCKY POINT DR W
STE 670
TAMPA, FL
ZIP 33607-803
Phone: (239) 597-0583
Fax: (239) 597-5628

The NPI 1568563625 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

The enumeration date for this NPI number is 9/25/2006 and was last updated on 5/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine4301065734MICHIGANNo
2208M00000XHospitalistME111706FLORIDANo
3207R00000XInternal MedicineME111706FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200158731OTHERMICHIGANWARREN TAX ID
2700E001650OTHERMICHIGANWARREN BCBS GR PIN
3381898230OTHERMICHIGANSCHOENHERR TAX ID
4ME111706OTHERFLORIDAFLORIDA MEDICAL LICENSE
5110E011830OTHERMICHIGANSCHOENHERR BCBS GR PIN
6H07406MEDICARE UPINMICHIGAN
74216940MEDICAIDMICHIGAN
8P28360006MEDICARE PINMICHIGAN
91105009572OTHERMASSACHUSETTSBCBSMI PERSONAL PIN
104749053MEDICAIDMICHIGAN
11M91190009MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.